ADRIAN BERTULFO

PROSPER, TX
NPI1104434695
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: TX  36338)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: TX  36338)
Enumeration Date2020-07-21
Last Update Date2022-07-14
Business Address
ADRIAN BERTULFO
900 S PRESTON RD
PROSPER, TX 75078-5143
Phone number: 469-459-0403
Mailing Address
ADRIAN BERTULFO
417 ADVENTUROUS SHIELD DR
LEWISVILLE, TX 75056-5409
Phone number: 214-425-8576